Generalized Anxiety Disorder

People with Generalized Anxiety Disorder (GAD) are “constant, excessive and

there is a state of anxiety and distress that is not appropriate with the situation”. Extreme

anxiety negatively affects a person’s daily life and even

prevent them from continuing their activities. These people are in any case the worst possible

they think about the outcome, everything is out of their control, a good possibility or

it is not possible to go back. Excessive worry and anxiety are often associated with GAD.

It is about health, family, children, school or work. Uncontrollable

This state of anxiety and distress, which is of a nature, almost every day for at least six months.

and it lasts all day.

The lifetime prevalence of GAD is 5-6%. In other words, every 100

5-6 of people may experience this ailment at any time in their lives.

The lifetime prevalence of generalized anxiety disorder is 7.7% in women and

It is 4.1% in men. The incidence in women is 2 times higher than in men.

Anxiety sensitivity increases with age. GAD is the most common anxiety in old age

is a disorder.

What are the Symptoms?

inconsistent with the situation, even when there is no real reason or cause,

Uncontrollable worry and anxiety is the main symptom of the disease.

Often the person is aware that their anxiety is excessive, but

They cannot control their worries and cannot calm down. around them

They are known as “overly pessimistic, overthinking”. Fatigue, attention deficit

and difficulty concentrating, sensitivity to sound, inability to fall asleep and at night

Waking up frequently to be restful are other important symptoms of sleep.

Some symptoms often present as if there is a physical illness in GAD.

accompanied by physical symptoms. These symptoms are: unreasonable fatigue, headache, and

muscle aches, difficulty in swallowing, tremors and twitches, sweating, intolerance,

physical complaints such as nausea, dizziness, hot flashes

Generalized Anxiety Disorder is defined according to the DSM-5 guidelines.

• Many events or events that occur almost every day for at least 6 months.

excessive anxiety about the activity (such as success at work or school), and

do not feel sadness (anxious expectations).

• The person finds it difficult to control his sadness.

• Anxiety and sadness have three (or more) of the following six symptoms:

more) accompanied by (number of days with symptoms during the last 6 months,

more than the number of symptom-free days).

Note: In children, only one item

presence is sufficient.

1. Restlessness, excessive excitement or anxiety

2. Easy fatigue

3. Difficulty concentrating your thoughts or as if your mind has stopped

to be

4. Irritability

5. Muscle tension

6. Sleep disturbance (difficulty falling or staying asleep, or

restless and restless sleep)

• Anxiety, sadness, or physical complaints are associated with clinically significant stress.

or other important social, occupational or functional

cause deterioration in the fields.

• This disorder is caused by a substance (eg, a drug of abuse,

medication) or a general medical condition (e.g. hyperthyroidism)

not directly related to physiological effects

• Anxiety or sadness; better with another mental disorder

should not be disclosed; eg. anxiety or sadness that it will be a Panic Attack

[as in Panic Disorder] , embarrassment in a general place

[As in Social Phobia], being infected [Obsessive-

As in Compulsive Disorder], from home or close relatives

staying away [in Separation Anxiety Disorder

such as], remembering the traumatic event in Posttraumatic Stress Disorder,

weight gain [as in Anorexia Nervosa], many physical complaints

[as in Somatization Disorder], perceived external

appearance defects (as in Body Dysmorphic Disorder)

disease [as in hypochondriasis] or delusional

content of beliefs [as in schizophrenia or delusional disorder]

How is it formed?

Stress plays an important role in the development of GAD. Childhood and youth

GAD, which starts between adulthood, shows a slow and insidious development.

Symptoms of the disease show periodic improvements and exacerbations. Stressful

Symptoms often worsen when life events occur. disease

“Hereditary factors, changes in brain neurochemistry, personality

characteristics and stressful life events”. Patients suffer from fatigue, tension,

often due to bodily symptoms such as muscle pain and headache.

They apply to non-psychiatric physicians and make the correct diagnosis and

Appropriate treatment may be delayed.


GAB is a treatable disease. A comprehensive psychiatric assessment at first admission

In addition to the assessment, these symptoms may be associated with any physical illness.

some investigations to see if it’s caused by

Most of the patients will go to a doctor after visiting other branch physicians.

The majority of patients with GAD who receive treatment benefit from treatment.

sees. Psychotherapy or drug treatments can be applied. Cognitive Behaviorist

useful methods of treatment such as psychotherapies, relaxation training.

is considered to be. One or more of these methods

It has been shown in scientific studies that its application is effective.

Antidepressant and anxiolytic drugs are used in the treatment of GAD. of the treatment

The aim is to treat anxiety and worry quickly. Medicines used in the treatment

they do not have serious side effects and the potential to be addictive.

The effect of drug therapy will not begin before three weeks. Medication symptoms

until it is completely healed. After full recovery

Treatment should be continued for at least 1 more year

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